Active NPI
Vivakeso LLC
- Sleep Medicine (Internal Medicine) Physician
- Vancouver, WA
National Provider Identifier
1932754140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- VIVAKESO LLC
- Practice address
- 2718 NE 152ND Ave
Vancouver, WA 98684-7887 - Phone
- (817) 723-1462
- NPI assigned
- Aug 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Alexis Arnold, RPSGT, RST, CCSH
- Title
- Owner
- Phone
- (817) 723-1462
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
2718 NE 152ND Ave
Vancouver, WA 98684-7887
Mailing address
2718 NE 152ND Ave
Vancouver, WA 98684-7887
Phone (817) 723-1462
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564963200000",
"number": "1932754140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2718 NE 152ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986847887",
"telephone_number": "817-723-1462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2718 NE 152ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986847887",
"telephone_number": "817-723-1462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIVAKESO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "ALEXIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-723-1462",
"authorized_official_credential": "RPSGT, RST, CCSH"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.